How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $724.44 | Facility | None | $138.04 | $138.04 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $138.04 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | 26 · Professional part | $22.91 | $22.91 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $114.82 | $114.82 | $151.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $144.54 Median $467.74 Typical High $851.14 | Facility | None | $144.54 | $467.74 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $125.89 Median $363.08 Typical High $1,862.09 | Professional | None (both parts) | $125.89 | $363.08 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $53.70 Typical High $457.09 | Professional | 26 · Professional part | $23.99 | $53.70 | $457.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $309.03 Typical High $1,698.24 | Professional | TC · Technical part | $102.33 | $309.03 | $1,698.24 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $812.83 | Facility | None | $407.38 | $588.84 | $812.83 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $691.83 Typical High $1,202.26 | Facility | None | $173.78 | $691.83 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $562.34 | Professional | None (both parts) | $169.82 | $229.09 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $35.48 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $190.55 | $457.09 |
Fallon Health Setting Facility Modifier None Typical Low $31.62 Median $147.91 Typical High $223.87 | Facility | None | $31.62 | $147.91 | $223.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $31.62 | $147.91 | $213.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $154.88 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $154.88 | $288.40 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $27.54 | $46.77 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $229.09 | $346.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $144.54 Median $467.74 Typical High $851.14 | Facility | None | $144.54 | $467.74 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $125.89 Median $363.08 Typical High $1,862.09 | Professional | None (both parts) | $125.89 | $363.08 | $1,862.09 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $53.70 Typical High $457.09 | Professional | 26 · Professional part | $23.99 | $53.70 | $457.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $309.03 Typical High $1,698.24 | Professional | TC · Technical part | $102.33 | $309.03 | $1,698.24 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,584.89 | Facility | None | $562.34 | $1,047.13 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $151.36 | $288.40 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $93.33 | Professional | 26 · Professional part | $27.54 | $33.88 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $123.03 | $239.88 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $199.53 | Facility | None | $97.72 | $134.90 | $199.53 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $41.69 | Facility | 26 · Professional part | $17.78 | $22.91 | $41.69 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $186.21 | Facility | TC · Technical part | $79.43 | $102.33 | $186.21 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $144.54 | $173.78 | $173.78 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $89.13 | Professional | 52 · Reduced service | $69.18 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $27.54 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | FX · Film X-ray | $109.65 | $109.65 | $154.88 |
Where Massachusetts sits
The same service costs 5.2 times more in Alabama than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 34th of 51
$182
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.